JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 2 (March 2019)
Japanese

Assessment of intragastric single-port surgery by the double protector method for intraluminal gastric gastrointestinal stromal tumors (GISTs) Kenjiro KITASATO 1 , Nobuyasu KANO 1 , Yoshihiko TSURUTA 1 , Takahisa YOSHIKAWA 2 , Nobushige YABE 2 , Shinji MURAI 2 1Department of Surgery, Chiba Tokushukai Hospital 2Department of Surgery, Ogikubo Hospital Keyword: 胃内手術 , 単孔式手術 , 胃消化管間質腫瘍 , GIST pp.181-187
Published Date 2019/3/15
DOI https://doi.org/10.11477/mf.4426200689
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 [Purpose] We performed intragastric single-port surgery by the double-protector method in 7 cases of intraluminal gastric gastrointestinal stromal tumors (GISTs) and assessed the results. [Methods] After making an upper abdominal midline incision, we inserted a LapShield®60 (LAGIS) and guided the stomach to directly beneath the incision. We incised the anterior wall of the stomach and created a gastrostomy with double LapShield®60s. We then resected the tumor from the gastric lumen with an automatic stapler, and after manually suturing the anterior wall of the stomach, sutured the wound closed. [Results] Median operation time was 69 min. No changes were noted in the surgical procedure. There were no postoperative complications in any of the cases. The surgical stump margin was negative in every case. No pseudocapsule injuries were observed. Median postoperative hospital length of stay was 8 days. [Conclusion] It was possible to perform intragastric single-port surgery by the double protector method in a safe and convenient manner.


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基本情報

13446703.24.2.jpg
日本内視鏡外科学会雑誌
24巻2号 (2019年3月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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